Levy Gad, Goldstein Liav, Erez Yair, Levite Ronen, Bar Udi, Marmor Meir, Linn Guy, Onn Erez, Levi Yehezkel, Bar-Dayan Yaron
Surgeon General Headquarters, Israel Air Force, Tel-Hashomer, Israel.
Mil Med. 2007 Mar;172(3):301-5. doi: 10.7205/milmed.172.3.301.
The setting of military ground force operations can be demanding and requires a matched medical assistance plan. A major consideration is the type of medical caregiver that is assigned to the mission. We studied the similarities, differences, advantages, and disadvantages of physicians versus paramedics in this scenario.
We interviewed 20 ground force physicians, highly experienced in this setting. We summarized their responses and formulated quantitative decision-making tables regarding two sorts of missions: a long-duration mission, far from friendly definitive care, and a short-duration mission, close to friendly hospitals.
The major areas in which physicians and paramedics differ, pertinent to a ground force operation are: formal education, on-job training, knowledge base, ability to treat a wide variety of medical conditions, ability to perform manual lifesaving procedures, social and moral impact, availability, physical fitness, combat skills, and cost. Of a maximum score of 100 points, for a long-term mission a physician scores 77.7 points while a paramedic scores 63.6 points. The scores for a short-term mission are 72.7 and 67.9, respectively.
Physicians and paramedics are distinct groups of medical caregivers and this is also true for the setting of ground force operations. They are not interchangeable. Our data show that a physician has a relative advantage over a paramedic, especially in long-term missions, far from friendly facilities.
A physician is the first choice for all kinds of military ground force missions while a paramedic can be a reasonable substitute for missions of short duration, close to definitive care.
军事地面部队行动的环境要求苛刻，需要与之匹配的医疗援助计划。一个主要的考虑因素是分配给任务的医疗护理人员类型。我们研究了在这种情况下医生与护理人员的异同、优缺点。
我们采访了20名在这种环境中有丰富经验的地面部队医生。我们总结了他们的回答，并制定了关于两类任务的定量决策表：一类是远离友好确定性医疗的长期任务，另一类是靠近友好医院的短期任务。
在与地面部队行动相关的主要方面，医生和护理人员存在差异：正规教育、在职培训、知识库、治疗多种医疗状况的能力、进行手动救生程序的能力、社会和道德影响、可用性、身体素质、战斗技能和成本。在满分100分的情况下，对于长期任务，医生得77.7分，护理人员得63.6分。短期任务的得分分别为72.7分和67.9分。
医生和护理人员是不同的医疗护理人员群体，在地面部队行动环境中也是如此。他们不可互换。我们的数据表明，医生相对于护理人员具有相对优势，尤其是在远离友好设施的长期任务中。
对于各类军事地面部队任务，医生是首选，而护理人员可作为靠近确定性医疗的短期任务的合理替代。
